Ripe for Disruption? Adopting Nurse-Led Data Science and Artificial Intelligence to Predict and Reduce Hospital-Acquired Outcomes in the Learning Health System
Nurse leaders are dually responsible for resource stewardship and the delivery of high-quality care. However, methods to identify patient risk for hospital-acquired conditions are often outdated and crude. Although hospitals and health systems have begun to use data science and artificial intelligence in physician-led projects, these innovative methods have not seen adoption in nursing. We propose the Petri dish model, a theoretical hybrid model, which combines population ecology theory and human factors theory to explain the cost/benefit dynamics influencing the slow adoption of data science for hospital-based nursing. Th...
Source: Nursing Administration Quarterly - June 5, 2019 Category: Nursing Tags: Original Articles Source Type: research
Reexamining Nurse Manager Span of Control With a 21st-Century Lens
The primary aim of this literature review was to examine the quantity, quality, and consistency of evidence regarding the span of control (SOC) specific to nurse managers. A secondary aim was to meaningfully translate the evidence and offer guidance to 21st-century nurse leaders. The review results were categorized using Donabedian's (2003) Structure-Process-Outcomes model. The Structure-Process-Outcomes approach was used to review the literature and consider SOC recommendations for today's health care environment. Structures outlined the conditions for current SOC, which included material resources, human resources, and o...
Source: Nursing Administration Quarterly - June 5, 2019 Category: Nursing Tags: Original Articles Source Type: research
Nurse Managers' Experiences With Electronic Health Records in Quality Monitoring
This study revealed 3 components of the nurse manager's quality-monitoring role: monitoring documentation, monitoring practice, and performing investigations. Facilitators for accessing EHR information included ease of navigation, timeliness and accessibility of reports, and usefulness of EHR tools. Participants described a range of formal and informal approaches to learning how to access information for quality monitoring in general and for the EHR specifically. The findings provide direction for further exploration of the EHR structures and processes needed to support nurse managers' information needs and quality-monitor...
Source: Nursing Administration Quarterly - June 5, 2019 Category: Nursing Tags: Original Articles Source Type: research
Disruption Ahead: Navigating and Leading the Future of Nursing
“Innovation” has become a ubiquitous term in the business of health care. The concept of disruptive innovation adds a new complexity to this popular notion. The emergence of artificial intelligence, virtual reality, and venture capitalists generates excitement, doubt, and curiosity for stakeholders across health care organizations. As companies such as Amazon, Apple, CVS, and JP Morgan enter this sector, disruptions will emerge that aim to improve the quality of care while reducing overall cost. The purpose of this article is to differentiate the concepts of innovation and disruptive innovation, explore their significa...
Source: Nursing Administration Quarterly - June 5, 2019 Category: Nursing Tags: Original Articles Source Type: research
Net In-Neutrality's Impact on Health Care
The Internet is a utility, just as water and electricity are, and is directly linked to care outcomes, budgeting considerations, and workforce acquisition. If water or electricity services were to be throttled up and down or commoditized, it would be important for health care leaders to understand and prepare for the resulting disruptions. In 2017, the Federal Communications Commission voted to eliminate consumer protection regulations that stopped Internet service providers from interfering with Internet service put in place under President Bush and maintained during the Obama administration. The elimination of these prot...
Source: Nursing Administration Quarterly - June 5, 2019 Category: Nursing Tags: Original Articles Source Type: research
Anticipating Disruptive Innovations With Foresight Leadership
The purpose of this article is to discuss the importance of foresight leadership to anticipate disruptive innovations in health care. Nursing foresight leadership is defined. Types of foresight leadership styles are described. Selected disruptive trends in health care are identified. Strategies to develop foresight leadership are discussed. Foresight requires transformational leadership skills. Resources to support the development of foresight leadership are referenced. Readers are invited to engage in actions and learning activities to develop foresight leadership capacity to anticipate disruptive innovations in health ca...
Source: Nursing Administration Quarterly - June 5, 2019 Category: Nursing Tags: Original Articles Source Type: research
Guest Editorial
No abstract available (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - June 5, 2019 Category: Nursing Tags: Guest Editorial Source Type: research
From the Editor
No abstract available (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - June 5, 2019 Category: Nursing Tags: From the Editor Source Type: research
Engaging Stakeholders to Co-design an Academic Practice Strategic Plan in an Integrated Health System: The Key Roles of the Nurse Executive and Planning Team
This article provides an overview of a recently integrated health system's strategic planning process that included the engagement of patients and caregivers. This can serve as a blueprint for others in their efforts to implement a systematic approach for enhancing collaborative academic practice in their organizations. (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - March 6, 2019 Category: Nursing Tags: Original Articles Source Type: research
Engaging Clinical Nurses in Research: Nurses' Experiences Delivering a Communication Intervention in a Behavioral Oncology Clinical Trial
This article describes the experiences of nurses who delivered the communication intervention in a behavioral oncology clinical trial for parents of adolescents and young adults (AYAs) with cancer. A qualitative thematic analysis was conducted of nurse interveners' (NIs') reflections on their experiences delivering the communication intervention. Ten data-generating questions were developed to guide NIs' reflections. Twelve NIs responded via verbal discussions. Six of these also provided written responses. Overall, nurses' experiences as interveners were powerful and positive, and included time and space to be fully presen...
Source: Nursing Administration Quarterly - March 6, 2019 Category: Nursing Tags: Original Articles Source Type: research
Authentic Nurse Leadership Conceptual Framework: Nurses' Perception of Authentic Nurse Leader Attributes
Today's nurse leaders are challenged to successfully implement and sustain healthy work environments and promote staff engagement. Authentic leaders possess inner core values that are consistent with the nursing profession. Authentic nurse leaders are able to create a healthy work environment that leads to engaged nurses. The first aim of this study was to develop the authentic nurse leadership conceptual framework and instrument. The second was to identify nurses' perception of authentic nurse leader attributes, grounded in the nursing discipline, that support a healthy work environment and promote nurse engagement. A cro...
Source: Nursing Administration Quarterly - March 6, 2019 Category: Nursing Tags: Original Articles Source Type: research
Nursing's Leadership Role in Advancing Professional Practice/Work Environments as Part of the Quadruple Aim
This article shares a model of leadership identified by executive nurse leaders to address and foster healthy PPWEs. A focus group of 16 expert nurse leaders convened an invitational meeting in Richmond, Virginia, to discuss nurse leaders' roles in optimizing the quadruple aim. The discussions led to shared perceptions about the prevalence of barriers to optimizing PPWEs; nursing leaders' responsibility to address the barriers to supporting improvement of the work-life of nursing professionals; and the need for early integration of leadership education, theory, and practice in every nurse's career. (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - March 6, 2019 Category: Nursing Tags: Original Articles Source Type: research
An Integrative Review of Nurse-to-Nurse Incivility, Hostility, and Workplace Violence: A GPS for Nurse Leaders
Bullying, lateral violence, and incivility are real phenomena in the nursing workplace and remain widespread across all care settings. The American Nurses Association recommends zero tolerance for any form of violence from any source and adopting evidence-based strategies to mitigate incivility and bullying. This integrative review examined the evidence regarding nurse-to-nurse incivility, bullying, and workplace violence for 4 nurse populations—student, new graduate, experienced, and academic faculty. Ganong and Cooper's review methodology structured the evidence synthesis. Twenty-one articles pertained to the clinical ...
Source: Nursing Administration Quarterly - March 6, 2019 Category: Nursing Tags: Original Articles Source Type: research
Addressing Unconscious Bias: A Nurse Leader's Role
This article discusses the influence of unconscious bias as well as strategies that the nurse leader can use to build diverse and inclusive organizations. (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - March 6, 2019 Category: Nursing Tags: Original Articles Source Type: research
Mastering Your Distinctive Strengths as an Introverted Nurse Leader
This article contrasts the nursing leadership styles of introverts and extraverts and examines what each brings to the nurse leader role. While introverts and extraverts bring unique strengths, it may appear to introverts that extraverts garner the preponderance of attention in meetings and committee work. Strategies for the self-identified introvert nurse leader to successfully lead in an extraversion-centric workplace are described. The article ends with the personal journey of 2 nurse leaders who embraced their introversion traits and learned ways to flourish in health care and academic settings. (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - March 6, 2019 Category: Nursing Tags: Original Articles Source Type: research
